Priority 2 from the Blood Transfusion and Blood Donation PSP

UNCERTAINTY: How can health professionals be discouraged from using blood inapproriately? (JLA PSP Priority 2)
Overall ranking	2
JLA question ID	0063/2
Explanatory note	Not available for this PSP
Evidence	Hibbs SP, Nielsen ND, Brunskill S, Doree C, Yazer MH, Kaufman RM, et al. The impact of electronic decision support on transfusion practice: a systematic review. Transfusion Medicine Reviews. 2015;29(1):14-23.
Health Research Classification System category	Generic Health Relevance

Extra information provided by this PSP
Original uncertainty examples	What systems can we put in place to limit unnecessary use of blood and blood products on the ICU? ~ Red cell transfusion: dose, frequency, end points, outcome, home vs. hospital, efficacy in patients with chronic malignant haematologic diseases ~ Transfusion is a quick fix, but is it always the best fix? ~ Should blood and blood product transfusion in trauma be better applied in NHS hospitals? ~ Is current guidance actually being followed? ~ Who should decide that a patient should receive a blood transfusion?
Submitted by	14 blood donors ~ 8 relatives or carers of blood recipients ~ 25 health professionals ~ 2 unknown ~ 1 other

Extra information provided by this PSP

Original uncertainty examples

What systems can we put in place to limit unnecessary use of blood and blood products on the ICU? ~ Red cell transfusion: dose, frequency, end points, outcome, home vs. hospital, efficacy in patients with chronic malignant haematologic diseases ~ Transfusion is a quick fix, but is it always the best fix? ~ Should blood and blood product transfusion in trauma be better applied in NHS hospitals? ~ Is current guidance actually being followed? ~ Who should decide that a patient should receive a blood transfusion?

Submitted by

14 blood donors ~ 8 relatives or carers of blood recipients ~ 25 health professionals ~ 2 unknown ~ 1 other

PSP information
PSP unique ID	0063
PSP name	Blood Transfusion and Blood Donation
Total number of uncertainties identified by this PSP.	51 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	28 February 2018